Individual provider Active NPI

Nathan Rogers, DPT

  • Physical Therapist
  • Vienna, VA
National Provider Identifier
1396253720
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
204 Mill St NE Ste E
Vienna, VA 22180-4500
Phone
(703) 991-8156
NPI assigned
Jan 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

204 Mill St NE Ste E
Vienna, VA 22180-4500

Mailing address

PO Box 441146
Kennesaw, GA 30160-9522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180523000261 VA Practitioner - Physical Therapist in Private Practice 0840555884 Reassigns benefits to 1 organization
I20190912000061 DC Practitioner - Physical Therapist in Private Practice 0840555884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions, LLC CurrentSince Jan 1, 2018 Accepting new patients
PT Solutions LLC Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
PT Solutions, LLC Physical Therapist CurrentSince Jul 9, 2019 Accepting new patients

Locations

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

106 W Stuart Dr
Galax, VA 24333
Phone (276) 238-8900

54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280

1420 Spring Hill Rd
Ste 202
Mc Lean, VA 22102
Phone (571) 765-1730

204 Mill St NE
Ste E
Vienna, VA 22180
Phone (703) 991-8156

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1396253720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441146",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301609522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MILL ST NE STE E",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804500",
            "telephone_number": "703-991-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.